Cosmetic Eyelid Surgery in Beverly Hills – Dr. Guy Massry
1Nov/180

How To: Perform Lower Lid Blepharoplasty With Fat Transpositioning

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Lower lid blepharoplasty is an intricate procedure which can be fraught with complications. The first, second and third rules that Dr. Guy Massry lives by for this procedure are, “Do it well!” It takes years to master this!

Dr. Massry loves performing this surgery on his patients and has dedicated much of his career to its study.  One variant in lower lid blepharoplasty is transposing the puffy fat to the adjacent hollow “dark circles" below. Traditionally, fat was also considered a bad thing and was simply removed. Now that we know fat is so precious when we transpose it under the eye, it creates a smooth, youthful appearance.

Before and After Lower Lid Blepharoplasty With Fat Transpositioning

Lower eyelid blepharoplasty - Dr Guy Massry

This patient had fantastic results after her lower lid blepharoplasty with fat transposition with Dr. Massry.

Illustration of How to Perform Lower Lid Blepharoplasty with Fat Transpositioning

Lower lid with fat transposition - Dr Guy Massry

This illustration is the cover to Dr. Massry's new video series on surgery available through Quality Medical Publishers. It does a nice job of showing how the procedure is performed.

Contact Dr. Guy Massry Today!

 

If you are considering lower lid blepharoplasty, please call our office today - 310.657.4302. Dr. Massry specializes in lower lid surgery and provides his patients with the most natural looking results!

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31Oct/180

Dana’s Revision Eyelid Surgery – Dr. Massry Changed My Life

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Lower eyelid retraction and canthal web - Dr Massry

"Dr. Guy Massry changed my life! I know it sounds dramatic but there is no other statement that would begin to describe what Dr. Massry did for me.  If you are reading this review you may be going through the same type of nightmare I experienced, at the hands of another doctor who absolutely botched your surgery or you may be researching doctors for your first surgery.  Either way, I am here to tell you, there is no one better and no one I would trust more than Dr. Massry in Beverly Hills.

I am a former model and was with the biggest agency in the world. I wanted to find a doctor who would not make me look different, just rested and refreshed. I searched for over a year.  The doctor I decided to go with, from NYC, was supposed to be "the Best in the Business." He was the most expensive doctor I interviewed. I thought logic would dictate, "you can't charge those kinds of prices and have great hype surrounding you if you are not the BEST"!!  I could not have been more wrong.  I had a HORRIBLE outcome!!!!  HORRIBLE!!!!  And here is the worst thing......this "great NYC doctor" blamed my old filler for his botched result.  His response to my panic was to tell me to go to a dermatologist and get filler to fix the problem.

I was devastated and felt so alone.  I looked so much worse than before the surgery.  I didn't look like me, anymore.  My lower lids were sagging and drooping. Under my eyes was so hollow and sunken.  I could not close my eyes at night and had to use a mask to hold them shut.  Even then I would wake up with painfully dry eyes.  I went through bottle after bottle of eye drops to fight the dryness.  I would see my reflection and my heart would sink.  I looked hollow and tired and my eyes looked deformed.  They were not "my eyes".  The emotional and psychological damage was as bad, if not worse, than the physical change.  I was incredibly self-conscious and would try not to make eye contact with people.  I would always try to smile, hoping my cheeks would push my lower lids up.  So, I would walk around smiling for no reason!!  I just kept my head down and hoped that people wouldn't look at me and see my droopy eyes.  That doctor in NYC and the horrible outcome stole my self-confidence.  It changed my personality.  My depression and hopelessness were constant. Always with me like a dark cloud.  It was the last thing I thought about at night and the first thing in the morning.  I felt so lost.  I had no idea what to do or who to talk to.  I was stuck in my fear of even considering another doctor because of my horrible experience in NYC.  Even after the NYC doctor saw the horrible outcome and told me to go get fillers, I never heard another word from him or his office. No follow up.  Nothing.  No concern.  Nothing!!! I felt so abandoned by him.  How would I trust another Dr?

I finally reached such a sad and desperate place, I called a friend of mine in LA and told him the story.  My friend in LA is literally the trainer to the stars!!  Superstars!!  He knows everyone!!  An hour after we talked he called me back with one name.  Dr. Guy Massry.  He said Dr. Massry is THE DOCTOR!!!  He has a stellar reputation and takes on the most difficult cases.  Cases other doctors won't even attempt. You can trust this doctor.  I called Dr. Massry and from the very first conversation, he put me at ease.  He understood my depression, lack of trust and not "seeing ME" when I looked in the mirror.  He understood my fear of another surgery and an even worse outcome.  After all, I trusted the NYC doctor and look what happened.  Dr Massry was so kind and gentle and explained that this type of revision is what he does.  He has performed hundreds of these procedures and he would not put me through the physical or emotional experience if he didn't feel he could help me.  He was a ray of light in what had become a dark and depressed world.  We talked many times over the course few months.  I had many questions, all of which were answered with patience and understanding and reassurance when I needed it.

Dr. Massry performed my surgery and I can't begin to describe the transformation.  Dr. Massry's skill, talent and the elegance of his work are just beyond anything I could have imagined.  Dr. Massry and Dr. Patel were there for me at all hours, checking on me, in contact with me regularly and if there was anything I needed it was taken care of immediately!!!  I never felt alone.  I pulled a stitch and Dr. Massry came in on a Sunday morning to repair the damage.  Who does that????  DR MASSRY!!!!!!!

I have many friends who are close to my age and considering surgery but I am the first to "go under the knife".  I only wish someone had gone before me and passed this knowledge along, so I could have avoided this horror.  I am telling all of my friends, and anyone who is considering surgery, GO TO DR. MASSRY!!!!!  DO NOT let anyone touch your eyes who is not an ocular plastic surgeon!  And even then, I am telling everyone, JUST GO TO DR. MASSRY!!!!  He even works with other surgeons who do lower face and noses and he will do your eyes!!!

I have learned that a botched surgery, changing the shape of your eyes can be devastating and change your looks, dramatically!  You don't look like "you," anymore.  Operating on your eyes is a specialty and, as I have learned, its not just about taking out extra skin.  It's about repositioning fat and muscle and its complex.  Please learn from my mistake.  You don't want to go through what I have gone through.  I don't know what I would have done without Dr. Massry.  I literally thank God for getting me to Dr. Massry, every time I see my reflection.  Dr. Massry changed my life.  He gave me back my confidence. He gave me back a sense of peace.  He gave me back, ME.  Thank you!  Thank you!  Thank you!!"

-Dana, New York

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23Oct/180

The Massry Method – Fixing Pulled Down Lower Lids and Rounded Eyes and Canthal Webs

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Dr. Guy Massry is internationally recognized for his exceptional ability to revise poor results from previous eyelid surgery. Far too often, eyelid surgery results in lower lid retraction, which occurs when the lower lids get pulled down after surgery, and canthal webs. These results are disfiguring and can be functionally disabling. This issue is very hard to fix and Dr. Massry has found that for many patients it requires a different “surgical recipe,” depending on examination, to make the eyes appear normal again.

How do you fix pulled down lower lids and rounded eyes?

Below is a great example of how Dr. Massry is able to revise this problem for patients after having surgery by another doctor. In the before pictures on the left, you can see her rounded eyes, with white showing below the iris (lower lid retraction), and the rounded outer corner of the eye (canthal web). The pictures on the right are after revision surgery with Dr. Massry to restore a regular, almond-shaped eye shape and to normalize the lower eyelid height.

Lower eyelid retraction and canthal web - Dr Massry

In this case, Dr. Massry addressed two issues:

1. The retracted or pulled down lower lids, which gives the patient a wide-eyed appearance. (Note: Her almond-shaped eyes are back after surgery.)

Lower eyelid retraction - Dr Massry

2. Even more difficult to correct is the web on the outer corner of the eye (lateral canthus). Dr Massry has published on this – here is a link to his paper.

Canthal web - Dr Massry

This patient is incredibly happy with the results of her lower eyelid retraction surgery with Dr. Massry.

As an expert in this procedure, Dr. Massry has written several publications on his technique. Here are two of them:

Cicatricial Canthal Webs - Dr Guy Massry New Insights Into Physical Findings Associated with Postblepharoplasty Lower Eyelid Retraction - Dr Massry

 Are you unhappy with the results of your eyelid surgery?

If you experienced lower lid retraction or canthal webs following eyelid surgery, please contact Dr. Massry today. This is a very complex problem and should only be addressed by an expert, like Dr. Massry.

Learn more about Revisional Eyelid Surgery.

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9Aug/180

Hollow Upper Eyelids – The Best Way to Fix Them

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As some people age, their upper eyelids begin to lose volume and create a sunken-in appearance. Below is an example of a patient with hollow upper eyelids.
Upper Eyelid Hollow - Before Surgery - Dr Guy Massry

When a patient has hollow upper eyelids, it makes the patient look older and tired. While this area can be treated with filler, in some cases surgical intervention is the best long-term option. However, as always with the eyes, it is very important to find a board-certified oculoplastic surgeon, like Dr. Guy Massry, who has extensive experience with this type of procedure.

Surgery for Hollow Upper Eyelids

 

To restore a youthful appearance for patients with hollow upper eyelids, Dr. Massry will perform an upper blepharoplasty with fat repositioning.

The nasal fat pad of the upper eyelid is dense, continuous and relatively rich with stem cells. These qualities make the nasal fat pad a good option for transposing from areas of excess fat to areas of deficit.

To perform upper eyelid fat repositioning, Dr. Massry begins with the regular upper blepharoplasty skin incision. Then he locates and divides the nasal and central orbicularis muscles and orbital septum so that he can access the nasal and central fat compartments. He releases the nasal fat from all of the connective tissue attachments so it is a freely mobile fat flap. The fat is then transposed over the areas of volume deficit, creating a smooth medial upper brow to upper lid transition.

Watch Upper Eyelid Fat Repositioning Surgery


As you can see from the video, this procedure fixes hollow upper eyelids and creates eyes that appear full, contoured and smooth.

Please note this patient also had a brow lift with upper blepharoplasty in addition to the fat repositioning. 

Contact Dr. Massry today!

If you are unhappy with the appearance of hollow upper eyelids, please contact our office to schedule a consultation with Dr. Massry today - 310.657.4302.

Read Dr. Massry's article on this topic - Effacing the orbitoglabellar groove with transposed upper eyelid fat.

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19Jul/180

Lacrimal Gland Repositioning with Upper Blepharoplasty

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A dislocated lacrimal gland (tear gland coming forward and visible or palpable under the eyelid) can add to temporal fullness of the eyelid. Eyelid expert, Dr. Guy Massry, explains how to repair a prolapsed lacrimal gland with lacrimal gland repositioning surgery.

What is the lacrimal gland?

The lacrimal glands produce tears and are located in the upper outer corner of the eye (lacrimal fossa).

What is lacrimal gland prolapse?

Lacrimal gland prolapse means there is a bulge or fullness to the outer part of the upper eyelid. Some patients will feel pressure on the globe and, on rare occasion, even experience eye comfort.

Here are examples of what lacrimal gland prolapse looks like.

Prolapsed lacrimal gland - Dr Guy Massry Lacrimal Gland Prolapse - Dr Guy Massry

In 2011, Dr. Massry and his colleagues published a paper that found lacrimal prolapse happens to a moderate degree in about 40% of people as they got older. So, this can be considered a normal part of the aging process. However, it can also occur in people who are younger too.

How is lacrimal gland repositioning surgery performed?

Lacrimal gland repositioning is a procedure in which a dislocated or anteriorly prolapsed tear gland is placed back into its normal position in the socket. The correct position is in the fossa, a hole in the bone of the upper outer orbital rim. The procedure is not technically challenging as long as you are familiar with the anatomy.

To begin, Dr. Massry will identify the prolapsed lacrimal gland. It is easy for Dr. Massry to visualize the gland because it has a pale color with obvious glandular elements that make it look very different than the clinical appearance of surrounding fat. Dr. Massry will use a suture to secure the anterior tip of the lacrimal gland fossa. This procedure returns the gland to its normal anatomic location and corrects the heavy upper lid appearance.

In many cases, Dr. Massry will perform the lacrimal gland repositioning in conjunction with an upper blepharoplasty to provide the most natural and rejuvenating results.

Watch Dr. Massry Perform A Lacrimal Gland Repositioning Surgery

Before and After Lacrimal Gland Repositioning

Below is an excellent example of a patient before and after lacrimal gland repositioning surgery.

Lacrimal gland repositioning - Dr Guy Massry - Beverly Hills

Schedule Your Consultation Today

If you think you have a prolapsed lacrimal gland, please contact our office today. Dr. Massry has extensive experience in repositioning the lacrimal gland and restoring your youthful appearance.

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17May/180

Festoons, Festoons, Festoons – What can we do?

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Festoons present a very complicated eyelid/cheek problem to correct. Festoons are the overhanging hammocks of skin at the junction of the eyelid and cheek. In general, surgeons treat festoons as just one entity. However, Dr. Guy Massry has found that there are actually two different kinds of festoons:

  • Dry festoons – overhanging skin
  • Wet festoons - accumulate fluid

In Dr. Massry’s experience, each type of festoon is best corrected with a different surgical technique and the surgery should always be customized to the patient’s needs. Furthermore, Dr. Massry has found when festoons are closer to the nose and the middle part of the eye they do very well with surgery. When they are located more laterally, the skin is thicker and the results might show more scarring.

Before & After Festoon Surgery

Lower bleph, festoon and fillers

This patient had previous surgery and filler injections for to remove her festoons and did not experience good results. Her festoons were a combination of the two types – dry and wet festoons. To give her better results, Dr. Massry first removed all of the filler that was placed by another doctor. Then, during surgery he performed a direct festoon excision by making an incision over her overhanging skin at the eyelid-cheek junction, sutured it together, re-secured and tightened her eyelids and performed a lower blepharoplasty to create a smooth lid-cheek junction.

Another technique that Dr. Massry uses to perfect the results is to post-operatively inject the incision area with wound modulators. This is a medication that biologically inhibits scars from forming.

Finally, once the patient healed from surgery, Dr. Massry injected fillers in the under eye and cheek area to restore volume and create an even smoother transition at the lid-cheek junction for the most natural-looking results. This is not an easy surgery and requires a lot of expertise.

She is very pleased with her results, especially with her rejuvenated appearance.

Watch the Festoon Surgery

Contact Dr. Massry today!

If you have festoons that you want to get rid of, please contact Dr. Massry today at 310-657-4302. His expertise in scarless festoon removal ensures you are in the best hands.

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6Feb/180

Blepharoplasty 101: Aging Eyelids

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In the second video of his series Blepharoplasty 101, Dr. Guy Massry discusses aging eyelids.

One of the easiest ways to understand the aging process of the eyelids is to compare our faces and eyelids to grapes that turn into raisins. As we age, our skin doesn't just sag, but we also lose volume. This loss of volume is why fillers and fat grafting have become so popular over the past few years.

When performing eyelid surgery for aging eyelids, Dr. Massry believes it is really important to look at photos of patients when they were younger to make sure he can restore not only their appearance but their volume too. So when you are preparing for a consultation with Dr. Massry, please pull out some photos from your memory box when you were younger to share with him.

Traditional blepharoplasty surgery has always been about subtraction (ie. taking tissue out). However, a full eyelid is more attractive than a hollow eyelid. So, Dr. Massry believes a better paradigm is to take out only what is necessary, and, more importantly,  leave what is critical to look and work great!

Schedule a Consultation With Dr. Massry!

If you have aging eyelids and are ready to learn more about blepharoplasty with Dr. Massry, please contact our office to schedule a consultation today! Dr. Massry is here to help and give you the best results possible so you look like your younger self.

Other videos in the Blepharoplasty 101 series:

Managing Patient Expectations

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2Feb/180

Blepharoplasty 101: Meeting Patient Expectations

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In his series Blepharoplasty 101, Beverly Hills oculoplastic surgeon, Dr. Guy Massry, will discuss everything you need to know before undergoing cosmetic eyelid surgery. In the first video of the series, Dr. Massry discusses the importance of having realistic expectations for your surgery.

Many people, both patients and surgeons, overlook the importance of establishing realistic expectations for blepharoplasty results. Every patient has a different idea in mind for how they want to look after cosmetic eyelid surgery, and it is critical that the patient clearly relays this vision to their surgeon in order to determine if the desired outcome is attainable. One of the most common reasons patients are not happy with their blepharoplasty results is because their expectations were not realistic.

At Dr. Massry's practice, he estimates that he only performs blepharoplasty on 3 out of every 10 patients who want the procedure. The reason is that he feels he cannot meet the expectations of 70% of patients. This happens for many reasons.

The eyes are the window to the soul; they are important for vision. A mistake in this area is not ok!

During a consultation with a surgeon, make sure that your expectations can be met so that you are happy with the results!

Contact Dr. Massry Today!

If you have been thinking about cosmetic eyelid surgery, please contact our office today! Dr. Massry specializes in blepharoplasty and has a very high satisfaction rate with his patients.

Other videos in the Blepharoplasty 101 series:

Aging Eyelids

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11Jan/180

Eye Bag Surgery: Before & After Lower Blepharoplasty

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One of the most requested cosmetic eyelid procedures is eye bag surgery. As we age, the membrane that holds the fat back weakens and the fat comes forward, creating the appearance of those unwanted eye bags.

Eye bag surgery, or cosmetic lower lid blepharoplasty, is a very specialized procedure which should ONLY be performed by an experienced eyelid surgeon, like Dr. Massry.  Although it is a commonly performed procedure, complications from an inexperienced surgeon can be devastating. Seeing an oculoplastic surgeon, who is a specialist in eyelid surgery, helps eliminate surgical complications.

Before & After Eye Bag Surgery

Before and after eye bag surgery

See more before & after examples. 

How is Eye Bag Surgery Performed?

When performing lower blepharoplasty, Dr. Massry's goal is to remove the eyelid bag and getting rid of the dark circles under the eyes. Dark under eye circles are also referred to as “periorbital or eyelid hollows.” Rather than removing all of the precious eyelid fat during a lower blepharoplasty, Dr. Massry will instead reposition some of the excess fat to the hollows of the eyes to create a smooth contour and fill in the hollow under eyes. This technique results in a refreshed and youthful appearance.

Contact Dr. Massry Today!

If you have under eye bags that bother you, schedule a consultation with Los Angeles eyelid expert, Dr. Guy Massry - 310.657.4302.

Read more blogs from Dr. Massry:

Eye Bag Surgery - What You Need to Know

Lower Lid Blepharoplasty - Both Art & Science

Natural Lower Blepharoplasty Results

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4Jan/180

Cosmetic Eyelid Surgery: Rejuvenate Your Eyes in 2018

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With the start of another new year, many people begin to set goals for themseveles. At the top of everyone's New Year Resolutions lists is looking and feeling your best. Whether your goal is to work out more, eat healthier, or try a new anti-aging treatment, all of these result in you feeling better! For those who are thinking about cosmetic eyelid surgery to rejuvenate their appearance in 2018, Dr. Guy Massry has you covered.

Cosmetic eyelid surgery is the most popular procedure that Dr. Massry performs at his Beverly Hills office. When treating patients, Dr. Massry takes a very customized approach to give his patients the best results possible.

We all age, but our eyes age differently. It is important to find an oculoplstic surgeon who specializes in eyelid rejuvenation to make sure your results are beautiful and natural. Some people may need an upper blepharoplasty, others need a lower blepharoplasty, and some might need both!

During a consultation with Dr. Massry, he will first ask you to tell him what bothers you about the appearance of your eyes and what your goals are for surgery. Then he will examine you and give you his surgical recommendations. With cosmetic eyelift surgery, Dr. Massry strives to provide his patients with results that are rejuvenating and very natural.

Before & After Cosmetic Eyelid Surgery

Best brow lift and upper blepharoplasty results - Dr Guy Massry

Male brow lift with upper and lower blepharoplasty - Dr Guy Massry - Beverly Hills

Cosmetic Eyelid Surgery - Upper and lower blepharoplasty with outer brow lift - Dr Guy Massry

See more patients in our cosmetic eyelid surgery photo gallery.

Contact Dr. Massry Today!

If you are interested in learning more about cosmetic eyelid surgery, please call us to schedule a consultation with Dr. Massry - 310.657.4302. We look forward to meeting you!

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